20 coding auditor educator jobs found

A leading data collaboration company is seeking an Inpatient Auditing Specialist to conduct coding audits and provide education on coding quality and compliance. This fully remote role requires 3+ years of coding experience and familiarity with coding standards. Key responsibilities include preparing audit reports, conducting coder education, and ensuring compliance with regulations. Join a collaborative team focused on transformative healthcare solutions and enjoy comprehensive benefits including medical, dental, and paid time off. #J-18808-Ljbffr

A leading accounting firm in Kansas City is seeking an experienced professional for coding and auditing responsibilities. The ideal candidate has over 5 years of experience with revenue cycle processes, strong analytical skills, and a healthcare-related degree. Certifications such as CPC, RHIT, or RHIA are required. This role involves conducting audits, collaborating with teams, and changing compliance education. Competitive pay and inclusion in a dynamic work environment offered. #J-18808-Ljbffr

Ambulatory Procedure Visit-Outpatient Coder COMPANY OVERVIEW: Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG currently has a contract with the Federal Government. You would be a W-2 employee for HPMG and NOT a government employee. SUMMARY: Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for ambulatory procedure visits. Trains and educates MTF staff on coding issues and plays a significant role in departmental and clinic-wide coding compliance activities. MANDATORY KNOWLEDGE AND SKILLS: Position requires excellent computer/communication skills for provider and staff interactions. Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient and...

Position Title HIM Outpatient Surgery/Ambulatory Coder Liberty Hospital Position Summary / Career Interest: The HIM Outpatient Surgery/Ambulatory Coder is responsible for reviewing outpatient/inpatient EHR. This position monitors CPT, ICD-10, and HCPCS code changes. Audits and/or assigns codes (CPT, HCPCS, and diagnosis) for professional and hospital accounts for Primary Care/Medical Specialty/Simple Procedural services from clinical documentation for accurate professional billing and facility APC assignment. The HIM Outpatient Surgery/Ambulatory Coder is a resource for the physicians and other health care providers in regard to coding and to review medical documentation to insure appropriate physician and facility coding and billing. Responsibilities and Essential Job Functions Reviews outpatient/inpatient EHR for appropriate documentation and signatures, and reviews interface charges prior to billing. Reviews departmental reporting structures and requests...

Inpatient Medical Coding Auditor - PPI Coding Disputes Become a part of our caring community and help us put health first. The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Responsibilities: Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding...

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we\'ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and one of the nation\'s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare...

Overview Internal Reference Number: R1049162 Summary: Why should you join the BlueCross BlueShield of South Carolina family of companies? We are the largest insurance company in South Carolina, a leading administrator of government contracts, and operate one of the Southeast's most sophisticated data processing centers. We are a diverse family of subsidiary companies that enables us to build on multiple business strengths and deliver outstanding service to our customers. This open position is within CGS Administrators, a subsidiary that provides administrative and business services to state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare providers, and medical equipment suppliers. We are expanding our Medicare Part A Medical Review team focused on Prior Authorizations, adding five new staff to enhance service to Medicare recipients. This position will lead a team of four to ten Medical Reviewers and...

Outpatient/Professional Lead Coder BJC is hiring for an Outpatient/Professional Lead Coder. We are looking for previous coding experience in ancillary or ED. This role is responsible for being a mentor for the coders on the team. At least one of the following certifications is required for this position: RHIA, RHIT, CCS, CCS-P, CPC, COC, or CCA. Open remotely to the following states: Alabama Iowa North Carolina Wisconsin Arkansas Kansas Ohio Florida Kentucky Oklahoma Georgia Louisiana South Carolina Illinois Mississippi Tennessee Indiana Missouri Texas Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health...

Additional Information About the Role BJC is hiring for a Outpatient/Professional Lead Coder. We are looking for previous coding experience in ancillary or ED. This role is responsible for being a mentor for the coders on the team. At least one of the following certifications is required for this position: RHIA, RHIT, CCS, CCS-P, CPC, COC, or CCA. Open remotely to the following states: Alabama Iowa North Carolina Wisconsin Arkansas Kansas Ohio Florida Kentucky Oklahoma Georgia Louisiana South Carolina Illinois Mississippi Tennessee Indiana Missouri Texas Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health...

A nonprofit health system is seeking a Senior Data Quality Specialist to perform coding audits and manage payer denials from a remote location. The ideal candidate will educate coding teams on trends and assist in creating appeal letters. This full-time role requires 6-9 years of relevant experience and certification as a Coding Specialist. Join a respected provider in Kansas City and contribute to patient care in an inclusive environment. #J-18808-Ljbffr

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we\'ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and one of the nation\'s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare...

Overview Internal Reference Number: R1049162 Summary: Why should you join the BlueCross BlueShield of South Carolina family of companies? We are the largest insurance company in South Carolina, a leading administrator of government contracts, and operate one of the Southeast's most sophisticated data processing centers. We are a diverse family of subsidiary companies that enables us to build on multiple business strengths and deliver outstanding service to our customers. This open position is within CGS Administrators, a subsidiary that provides administrative and business services to state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare providers, and medical equipment suppliers. We are expanding our Medicare Part A Medical Review team focused on Prior Authorizations, adding five new staff to enhance service to Medicare recipients. This position will lead a team of four to ten Medical Reviewers and...

City/State: Saint Louis, Missouri Categories: Health Information Management Job Status: Full-Time Req ID : 103131 Pay Range: $23.10 - $38.36 / hour (Salary or hourly rate is based on job qualifications and relevant work experience) Additional Information About the Role BJC is hiring for a Outpatient/Professional Lead Coder. We are looking for previous coding experience in ancillary or ED. This role is responsible for being a mentor for the coders on the team. At least one of the following certifications is required for this position: RHIA, RHIT, CCS, CCS-P, CPC, COC, or CCA. Open remotely to the following states: Alabama Iowa North Carolina Wisconsin Arkansas Kansas Ohio Florida Kentucky Oklahoma Georgia Louisiana South Carolina Illinois Mississippi Tennessee Indiana Missouri Texas Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to...

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

Overview At the Louisiana Department of Revenue, we are dedicated to fairly and efficiently administering the states tax laws to ensure compliance while providing exceptional customer service. We are committed to fostering public trust, enhancing economic growth, and maximizing revenue collection to support essential services that benefit all citizens of Louisiana. Were looking for a Revenue Tax Auditor Supervisor to join our Field Audit Sales Tax Division . The official job specifications for this role, as defined by the State Civil Service, can be found here. This posting may be used to fill vacancies in other divisions available within the Louisiana Department of Revenue within 90 days of the closing date. Tax and Natural Disaster Clearance will be conducted on all selected applicants to validate timely submission of tax returns and payments. It is a requirement that all Revenue employees must adhere to all tax laws of the State of Louisiana. Louisiana is a State As...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Details Location: Remote Department/Speciality: Compliance Schedule: Full time, Days Salary range : $29.74- 40.23 per hour #LI-Remote Benefits Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance Time to recharge: pro-rated paid time off (PTO) and holidays Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources Family support: parental leave, adoption assistance and family benefits Other benefits: optional legal and pet insurance, transportation savings and more Benefit options and eligibility vary by position, scheduled hours and location....

DRG Coding Auditor Principal Virtual:? ?? This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

POSITION TITLE: Compliance Auditor REPORTS TO: Director of Compliance CLASSIFICATION: Non-Exempt POSITION SUMMARY: The Compliance Auditor is responsible for developing and executing audit plans based on research and regulatory guidelines and conducting internal and external audits of departments and their policies. They review programs, records, and systems to ensure adherence to regulations and to support an effective compliance program that prevents illegal, unethical, or improper conduct at the health center. Additionally, they compile and present audit findings to department leadership, assist in implementing procedural changes to resolve compliance issues, and may be reassigned duties as needed for accommodation or staffing reasons. ESSENTIAL FUNCTIONS: The following information is considered the definition of essential functions, but does not restrict the tasks that may be assigned. The Compliance Auditor may be reassigned duties and responsibilities...

Spine Surgery Coder Remote Role 6-Month Contract to Hire Compensation: $30 per hour Start Date: ASAP ABOUT THE ROLE Our client is seeking a highly skilled Spine Surgery Coder for a remote, 6-month contract-to-hire opportunity. In this role, you will leverage your expertise in spine surgery coding-particularly within the outpatient Ambulatory Spine Center (ASC) environment-to ensure accurate and compliant coding of spinal procedures. You will play a critical part in supporting revenue integrity, audits, and denials prevention, while adhering to regulatory and payer-specific guidelines. The ideal candidate will have a strong background in CPT and ICD-10-CM coding for spine surgeries, with a focus on neurostimulator procedures, and familiarity with the Epic electronic health record system is preferred. This is an immediate need with a start date as soon as possible. WHAT YOU'LL DO Review full operative reports to assign accurate CPT and ICD-10-CM codes for...